| Entity Name: | VALORA MEDICAL MANAGEMENT OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Mar 2024 (a year ago) |
| Document Number: | M24000003263 |
| FEI/EIN Number | 991848361 |
| Address: | 9368 BLANCHE COVE DR., WINDERMERE, FL, 34786, US |
| Mail Address: | 9368 BLANCHE COVE DR., WINDERMERE, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457119620 | 2024-03-11 | 2024-03-12 | 5601 EXECUTIVE DR STE 200, IRVING, TX, 750382508, US | 7151 UNIVERSITY BLVD STE 100, WINTER PARK, FL, 327926724, US | |||||||||||||||
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| Phone | +1 844-825-6724 |
| Fax | 9726379256 |
Authorized person
| Name | MRS. PATRICIA PICHARDO |
| Role | COO |
| Phone | 4074601292 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| PICHARDO NELSON | PAP | 9368 BLANCHE COVE DR., WINDERMERE, FL, 34786 |
| Name | Date |
|---|---|
| Foreign Limited | 2024-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
